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MICHIGAN INSTITUTE OF UROLOGY PC
NPI 1275301632
Urology in Brighton, MI

Active since December 15, 2023CLIA 23D2055198 · Microscopy
2300 GENOA BUSINESS PARK DR STE 120, BRIGHTON, MI 48114(586) 771-4820 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2024, Dec 15, 2023 (2 updates tracked since 2023).

About Michigan Institute Of Urology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN INSTITUTE OF UROLOGY PC (NPI 1275301632) is a healthcare organization registered as an urology in Brighton, Michigan and active in the NPI registry since December 2023. The organization holds a CLIA Microscopy certificate valid through March 5, 2027 and lists Tracy Lee Mcauley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1275301632
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMICHIGAN INSTITUTE OF UROLOGY PC
Location Address2300 GENOA BUSINESS PARK DR STE 120Brighton, MI 48114-7368
Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820
Phone(586) 771-4820
Organization SubpartNo
Authorized OfficialTracy Lee McauleyCredentialing Specialist · (586) 771-4820
Enumeration DateDecember 15, 2023
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1275301632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2300 GENOA BUSINESS PARK DR STE 120, Brighton, MI 48114
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2055198

Michigan Institute Of Urology · Brighton, MI
Active · expires Mar 5, 2027
CLIA Number23D2055198
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorFadi A. Eliya
Laboratory Phone(586) 443-4272
Laboratory LocationMichigan Institute Of Urology2300 Genoa Business Drive Ste 120, Brighton, MI 48114
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN URGENT CARE
Non-Pharmacy Dispensing Site
2300 GENOA BUSINESS PARK DR STE 120
BRIGHTON, MI 48114
Livingston County (810) 844-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Institute Of Urology PC's NPI number?

The NPI number for Michigan Institute Of Urology PC is 1275301632. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Michigan Institute Of Urology PC located?

Michigan Institute Of Urology PC is located at 2300 Genoa Business Park Dr Ste 120, Brighton, MI 48114. The listed phone number is (586) 771-4820.

What is Michigan Institute Of Urology PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Michigan Institute Of Urology PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2055198) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michigan Institute Of Urology PC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.